Neck Contouring Prejuvenation Techniques

Aims and Background: This paper discusses neck contouring prejuvenation techniques, focusing primarily on neck lift and submental liposuction to optimize neck definition. Historical Aspects: Traditional neck rejuvenation has relied on platysmaplasty, fat excision, and skin resuspension for addressing the aging neck. With growing demand for early neck rejuvenation, surgical approaches focused more on definitive sculpting such as submental liposuction and deep neck lifts have become increasingly popular. Anatomy: The neck consists of multiple layers and structures including skin, subcutaneous fat, platysma muscle, submandibular glands. Patient Selection: Ideal candidates for prejuvenation surgical neck contouring procedures are patients aged 20-40 with early signs of submental fullness or a soft jawline with otherwise good skin elasticity. Technique: The senior author performs deep neck lift surgery using a small submental crease incision and sculpts prominent subplatysmal fat, anterior digastric muscle, and submandibular glands down to the level of the mandible. Postoperative Care: Following neck lift surgery, patients are instructed to follow a bland diet for 1 week and activity restriction for 2 weeks as well as appropriate wound care to the incisions. Conclusion and Clinical Relevance: Neck lift and submental liposuction remain the cornerstones of effective surgical neck contouring procedures for younger adults. Key Words: Neck Lift, Submental Liposuction